Dental Board of California
Licensing details for: 3227
Name: BUZZELL, JORDAN NATHANIEL
License Type: Oral Conscious Sedation
Primary Status: Cancelled
Specialty: Minor
Address of Record
110 TOWN CENTER PARKWAY
Suite A
SANTEE CA 92071
SAN DIEGO county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SANTEE PEDIATRIC DENTISTRY, DENTAL PRACTICE OF BPM DENTAL PARTNERSHIP
License/Registration Type: Fictitious Name Permit
License Number: 13896 Primary Status: Cancelled
Address :
110 TOWN CENTER PKWY STE A
SANTEE CA 92071
SAN DIEGO COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Oral Conscious Sedation Certificate
Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Name: BUZZELL, JORDAN NATHANIEL
License/Registration Type: Dentist License
License Number: 57219 Primary Status: Current - Active
Address :
110 TOWN CENTER PARKWAY
Suite A
SANTEE CA 92071
SAN DIEGO COUNTY
